Timely diagnosis of a Newborn wth Vein of Galen aneurysmal malformation: a case report
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Keywords

Aneurysm
congenital
malformation
neonates
prenatal diagnosis
vein of Galen (MeSH)

Abstract

The vein of Galen malformation is a clinical challenge despite its low frequency, this disease must be detected early during the prenatal age and managed by a multidisciplinary group, beginning with the general physician in the antenatal medical appointment and later receiving treatment with perinatologists, pediatricians, neonatologists and interventional radiologists; all of this in order to ensure a better outcome and neurologic and systemic consequences.

This report shows a female patient with an early and accurate antenatal diagnosis of vein of Galen malformation; during the postnatal period multidisciplinary approach and rationale medical management lowered the risk and possible complications, allowing the preparation for a late endovascular intervention.

https://doi.org/10.22379/24224022179

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References

Oldfield EH, Pierre M, LeRoux PD, Couldwell WT, McKhann GM, Howard MA, et al. Youmans Neurological Surgery. Sixth Edition ed: Saunders, an imprint of Elsevier Inc.; 2011.

Recinos PF, Rahmathulla G, Pearl M, Recinos VR, Jallo GI, Gailloud P, et al. Vein of Galen malformations: epidemiology, clinical presentations, management. Neurosurg Clin N Am. 2012;23(1):165-77. https://doi.org/10.1016/j.nec.2011.09.006

Berenstein A, Fifi JT, Niimi Y, Presti S, Ortiz R, Ghatan S, et al. Vein of Galen malformations in neonates: new management paradigms for improving outcomes. Neurosurgery. 2012;70(5):1207-13; discussion 13-4. https://doi.org/10.1227/NEU.0b013e3182417be3

Gold A, Ransohoff J, Carter S. Vein of galen malformation. Acta Neurol Scand Suppl. 1964;40:(Suppl 11):1-31.

Cruz Z SS, Rojas H JP, López JM, Muñoz YA. Angiomatosis cavernosa cerebral múltiple en pediatria. Acta Neurol Colomb. 2012;28:152-6.

Granados A, Hernández Ortíz OH, Guerra Palacio A, Uribe CS. Síndrome de Moyamoya y complicaciones neurológicas en un paciente con enfermedad de células falciforme. Acta Neurol Colomb. 2012;28:49-54.

Carvajal LF, Gómez H, Gómez JF, Ruz MA. Malformación aneurismática de la vena de Galeno. Reporte de un caso. Rev Colomb de Cardiol. 2011;18(3):162-8.

McElhinney DB, Halbach VV, Silverman NH, Dowd CF, Hanley FL. Congenital cardiac anomalies with vein of Galen malformations in infants. Arch Dis Child. 1998;78(6):548-51.

Darji PJ, Gandhi VS, Banker H, Chaudhari H. Antenatal diagnosis of aneurysmal malformation of the vein of Galen. BMJ Case Reports. 2015. https://doi.org/10.1136/bcr-2015-213785.

Rubio W Montoya M, Herrera F. Sindrome de Foix Alajouanine (Mielopatía Angiodisgenética Necrotizante Subaguda). Acta Neurol Colomb. 2014;30:222-5.

Gailloud P, O'Riordan DP, Burger I, Levrier O, Jallo G, Tamargo RJ, et al. Diagnosis and management of vein of Galen aneurysmal malformations. J Perinatol. 2005;25(8):542-51. https://doi.org/10.1038/sj.jp.7211349.

Yan J, Wen J, Gopaul R, Zhang C-Y, Xiao S-W. Outcome and complications of endovascular embolization for vein of Galen malformations: a systematic review and meta-analysis. J Neurosurg. 2015;123(4):872-90. https://doi.org/10.3171/2014.12.JNS141249.

Mitchell PJ, Rosenfeld JV, Dargaville P, Loughnan P, Ditchfield MR, Frawley G, et al. Endovascular management of vein of galen aneurysmal malformations presenting in the neonatal period. AJNR Am J Neuroradiol. 2001;22(7):1403-9.

Hoffman HJ, Chuang S, Hendrick EB, Humphreys RP. Aneurysms of the vein of Galen. Experience at the Hospital for Sick Children, Toronto. J Neurosurg. 1982;57(3):316-22. https://doi.org/10.3171/jns.1982.57.3.0316.

Johnston IH, Whittle IR, Besser M, Morgan MK. Vein of Galen malformation: diagnosis and management. Neurosurgery. 1987;20(5):747-58.

Mortazavi MM, Griessenauer CJ, Foreman P, Bavarsad Shahripour R, Shoja MM, Rozzelle CJ, et al. Vein of Galen aneurysmal malformations: critical analysis of the literature with proposal of a new classification system. J Neurosurg Pediatr. 2013;12(3):293-306. https://doi.org/10.3171/2013.5.PEDS12587.

Aly AM, Garcia CY, von Ritschl R. Successful embolization of a large vein of Galen malformation in a premature infant presenting with congestive heart failure and persistent pulmonary hypertension. AJP Reports. 2012;2(1):19-22. https://doi. org/10.1055/s-0031-1300966.

Wong FY, Mitchell PJ, Tress BM, Dargaville PA, Loughnan PM. Hemodynamic disturbances associated with endovascular embolization in newborn infants with vein of Galen malformation. J Perinatol. 2006;26(5):273-8. https://doi.org/10.1038/sj.jp.7211479.

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